Do I need a Pessary?
Ladies are candidates for a pessary when…
- There is a need to postpone having surgery
- The patient does not want to have surgery
- The patient is a poor surgical candidate – underlying medical problems, age, etc.
- A pessary may be used as a diagnostic tool for physicians to determine if surgery will correct the problem
- The use of a pessary may provide temporary relief while awaiting surgery
- It may hasten postoperative healing: Wearing a pessary prior to surgery helps relieve congestion of mucosa and improves circulation to the area
- A patient refuses surgery
- If the patient plans on having children in the future
Contraindication to supportive pessaries:
- Local infections - Active infections of the vagina or pelvis, such as vaginitis or pelvic inflammatory disease, preclude the use of a pessary until the infection has been resolved.
- Noncompliance - Noncompliance with follow-up could be harmful since an undetected and untreated erosion could put the patient at risk of developing a fistula.
- Sexually active women who are unable to remove and reinsert the pessary - Inability to manage the pessary